Clinical and Imaging Assessment for Superior Labrum Anterior and Posterior Lesions

被引:9
作者
McFarland, Edward G. [1 ]
Tanaka, Miho J. [1 ]
Garzon-Muvdi, Juan [1 ]
Jia, Xiaofeng [1 ]
Petersen, Steve A. [1 ]
机构
[1] Care of Henze EP, Johns Hopkins Univ, Dept Orthopaed Surg,Div Shoulder Surg, Editorial Serv,Johns Hopkins Bayview Med Ctr, Baltimore, MD 21224 USA
关键词
BICEPS LOAD TEST; SLAP LESIONS; MR ARTHROGRAPHY; PHYSICAL-EXAMINATION; GLENOID LABRUM; DIAGNOSTIC-ACCURACY; THROWING SHOULDER; TEARS; TESTS; RELIABILITY;
D O I
10.1249/JSR.0b013e3181b7f042
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
MCFARLAND, E. G., M.J. TANAKA, J. GARZON-MUVDI, X. JIA, and S. A. PETERSEN. Clinical and imaging assessment for superior labrum anterior and posterior lesions. Curr. Sports Med. Rep., Vol. 8, No. 5, pp. 234-239, 2009. In the evaluation of the painful shoulder, especially in the overhead athlete, diagnosing superior labrum anterior and posterior (SLAP) lesions continues to challenge the clinician because of 1) the lack of specificity of examination tests for SLAP; 2) a paucity of well-controlled studies of those tests; and 3) the presence of coexisting confounding abnormalities. Some evidence indicates that multiple positive tests increase the likelihood that a SLAP lesion is present, but no one physical examination finding conclusively makes that diagnosis. The goals of this article were to review the physical examination techniques for making the diagnosis of SLAP lesions, to evaluate the clinical usefulness of those examinations, and to review the role of magnetic resonance imaging in making the diagnosis.
引用
收藏
页码:234 / 239
页数:6
相关论文
共 51 条
[1]   GLENOID LABRUM TEARS RELATED TO THE LONG HEAD OF THE BICEPS [J].
ANDREWS, JR ;
CARSON, WG ;
MCLEOD, WD .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1985, 13 (05) :337-341
[2]   Superior labrum anterior-posterior lesions: Diagnosis with MR arthrography of the shoulder [J].
Bencardino, JT ;
Beltran, J ;
Rosenberg, ZS ;
Rokito, A ;
Schmahmann, S ;
Mota, J ;
Mellado, JM ;
Zuckerman, J ;
Cuomo, F ;
Rose, D .
RADIOLOGY, 2000, 214 (01) :267-271
[3]   SPECIFICITY AND SENSITIVITY OF THE ANTERIOR SLIDE TEST IN THROWING ATHLETES WITH SUPERIOR GLENOID LABRAL TEARS [J].
BENKIBLER, W .
ARTHROSCOPY, 1995, 11 (03) :296-300
[4]   A clinical test for superior glenoid labral or 'SLAP' lesions [J].
Berg, EE ;
Ciullo, JV .
CLINICAL JOURNAL OF SPORT MEDICINE, 1998, 8 (02) :121-123
[5]   The mechanism of creation of superior labrum, anterior, and posterior lesions in a dynamic biomechanical model of the shoulder: The role of inferior subluxation [J].
Bey, MJ ;
Elders, GJ ;
Huston, LJ ;
Kuhn, JE ;
Blasier, RB ;
Soslowsky, LJ .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 1998, 7 (04) :397-401
[6]   Shoulder injuries in overhead athletes - The "dead arm" revisited [J].
Burkhart, SS ;
Morgan, CD ;
Kibler, WB .
CLINICS IN SPORTS MEDICINE, 2000, 19 (01) :125-+
[7]   The disabled throwing shoulder: Spectrum of pathology part 1: Pathoanatomy and biomechanics [J].
Burkhart, SS ;
Morgan, CD ;
Ben Kibler, W .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2003, 19 (04) :404-420
[8]  
CODSI M, 2009, SHOULDER, P145
[9]   Noncontrast magnetic resonance imaging of superior labral lesions - 102 cases confirmed at arthroscopic surgery [J].
Connell, DA ;
Potter, HG ;
Wickiewicz, TL ;
Altchek, DW ;
Warren, RF .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1999, 27 (02) :208-213
[10]  
Dessaur WA, 2008, J ORTHOP SPORT PHYS, V38, P341, DOI 10.2519/jospt.2008.2676